Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kristi Cornforth, LICSW

Individual provider Clinical Social Worker · NPI 1619433364

Kristi Cornforth, LICSW is a Clinical Social Worker in South Burlington, Vermont. Qualified in 2016, 10 years ago. Licensed in Vermont.

Years since qualifying
10
Licensed in
VT
In the registry since
2019
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

56 W Twin Oaks Ter Ste 3
South Burlington, VT 05403-7138
Phone: (802) 227-2670
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 089.0122874 (VT)

Record details

NPI number1619433364
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedFebruary 19, 2019
Last updated in NPPESAugust 16, 2023
Certification dateAugust 16, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Accepts Medicare assignment Not indicated

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